ATI RN [Publish Date]
ATI RN Leadership NGN Exam-Style Practice Guide:
Comprehensive Advanced Leadership Concepts with
Evidence-Based Rationales for NCLEX Success
EXAM INSTRUCTIONS
• TOTAL QUESTIONS: 150 MULTIPLE-CHOICE
QUESTIONS AND SOME SCREENSHOOTS
• DIFFICULTY LEVEL: ADVANCED/HARD
• TARGET AUDIENCE: NURSING STUDENTS,
GRADUATE NURSES, AND EXPERIENCED RNS
PREPARING FOR ATI RN LEADERSHIP PROCTORED
EXAM AND NCLEX-RN
• FORMAT: CLINICAL SCENARIOS, PRIORITIZATION
QUESTIONS, DELEGATION SCENARIOS, AND
APPLICATION-BASED ITEMS WITH FOUR ANSWER
CHOICES (A, B, C, D), ONE CORRECT ANSWER,
AND DETAILED RATIONALE
• TIME ALLOWED: 3 HOURS
,ATI RN [Publish Date]
Question 1
A nurse manager observes that staff members are highly skilled but lack motivation to
implement a new evidence-based practice protocol. Which leadership style would be
most effective in addressing this situation?
A) Autocratic leadership
B) Democratic leadership
C) Transformational leadership
D) Laissez-faire leadership
Correct Answer: C
Rationale: Transformational leadership is ideal when staff have the skills but lack
motivation. This style inspires and motivates through vision, intellectual stimulation, and
,ATI RN [Publish Date]
individualized consideration . Autocratic (A) would create resistance by imposing
decisions. Democratic (B) may be inefficient when decisions need to be made. Laissez-
faire (D) provides insufficient guidance.
Question 2
A nurse manager is using Hersey and Blanchard's Situational Leadership Theory to guide
decision-making. The staff on the unit are experienced, competent, and confident in
their abilities. Which leadership style should the manager use?
A) Telling
B) Selling
, ATI RN [Publish Date]
C) Participating
D) Delegating
Correct Answer: D
Rationale: According to Situational Leadership Theory, when staff demonstrate
high competence and high commitment, the appropriate leadership style is delegating
(low task/low relationship) . Telling (A) is for low competence/high commitment. Selling
(B) is for moderate competence/low commitment. Participating (C) is for moderate
competence/variable commitment.
ATI RN Leadership NGN Exam-Style Practice Guide:
Comprehensive Advanced Leadership Concepts with
Evidence-Based Rationales for NCLEX Success
EXAM INSTRUCTIONS
• TOTAL QUESTIONS: 150 MULTIPLE-CHOICE
QUESTIONS AND SOME SCREENSHOOTS
• DIFFICULTY LEVEL: ADVANCED/HARD
• TARGET AUDIENCE: NURSING STUDENTS,
GRADUATE NURSES, AND EXPERIENCED RNS
PREPARING FOR ATI RN LEADERSHIP PROCTORED
EXAM AND NCLEX-RN
• FORMAT: CLINICAL SCENARIOS, PRIORITIZATION
QUESTIONS, DELEGATION SCENARIOS, AND
APPLICATION-BASED ITEMS WITH FOUR ANSWER
CHOICES (A, B, C, D), ONE CORRECT ANSWER,
AND DETAILED RATIONALE
• TIME ALLOWED: 3 HOURS
,ATI RN [Publish Date]
Question 1
A nurse manager observes that staff members are highly skilled but lack motivation to
implement a new evidence-based practice protocol. Which leadership style would be
most effective in addressing this situation?
A) Autocratic leadership
B) Democratic leadership
C) Transformational leadership
D) Laissez-faire leadership
Correct Answer: C
Rationale: Transformational leadership is ideal when staff have the skills but lack
motivation. This style inspires and motivates through vision, intellectual stimulation, and
,ATI RN [Publish Date]
individualized consideration . Autocratic (A) would create resistance by imposing
decisions. Democratic (B) may be inefficient when decisions need to be made. Laissez-
faire (D) provides insufficient guidance.
Question 2
A nurse manager is using Hersey and Blanchard's Situational Leadership Theory to guide
decision-making. The staff on the unit are experienced, competent, and confident in
their abilities. Which leadership style should the manager use?
A) Telling
B) Selling
, ATI RN [Publish Date]
C) Participating
D) Delegating
Correct Answer: D
Rationale: According to Situational Leadership Theory, when staff demonstrate
high competence and high commitment, the appropriate leadership style is delegating
(low task/low relationship) . Telling (A) is for low competence/high commitment. Selling
(B) is for moderate competence/low commitment. Participating (C) is for moderate
competence/variable commitment.
